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  1. C100 医学部/医学系研究科
  2. C100b 紀要
  3. Nagoya journal of medical science
  4. 81(4)

Repeated episodes of thoracic empyema after spontaneous esophageal rupture

https://doi.org/10.18999/nagjms.81.4.693
https://doi.org/10.18999/nagjms.81.4.693
38577bc0-9275-4f7c-a1b2-1dc902206e49
名前 / ファイル ライセンス アクション
16_Sakatoku.pdf 16_Sakatoku.pdf (25.0 MB)
Item type 紀要論文 / Departmental Bulletin Paper(1)
公開日 2019-11-26
タイトル
タイトル Repeated episodes of thoracic empyema after spontaneous esophageal rupture
著者 Sakatoku, Yayoi

× Sakatoku, Yayoi

WEKO 94480

Sakatoku, Yayoi

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Fukaya, Masahide

× Fukaya, Masahide

WEKO 94481

Fukaya, Masahide

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Kawaguchi, Koji

× Kawaguchi, Koji

WEKO 94482

Kawaguchi, Koji

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Fujieda, Hironori

× Fujieda, Hironori

WEKO 94483

Fujieda, Hironori

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Miyata, Kazushi

× Miyata, Kazushi

WEKO 94484

Miyata, Kazushi

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Nagino, Masato

× Nagino, Masato

WEKO 94485

Nagino, Masato

Search repository
キーワード
主題Scheme Other
主題 thoracic empyema
キーワード
主題Scheme Other
主題 spontaneous esophageal rupture
抄録
内容記述 A 52-year-old man with a cough, high fever, and inappetence was diagnosed with thoracic empyema on computed tomography at a local hospital. He had undergone continuous thoracic drainage for a spontaneous esophageal rupture that occurred 17 years earlier. He developed left thoracic empyema 2, 14 and 17 years following the initial esophageal rupture that improved with conservative therapy each time. The most recent episode of thoracic empyema also resolved with conservative therapy. However, he was referred to our hospital for further examination and more complete surgical treatment for recurrent thoracic empyema. Gastrointestinal endoscopy showed a scar from the previous esophageal rupture in the lower esophagus. We considered that recurrent esophageal rupture may have caused repeated episodes of thoracic empyema based on endoscopic findings and his past history and elected to perform subtotal esophagectomy to provide a complete cure. A left transthoracic esophagectomy with a left lower lung lobectomy and gastric tube reconstruction via a retrosternal route were performed. A latissimus dorsi muscle flap was used to eliminate the dead space after lower lung lobectomy to prevent recurrent thoracic empyema. The bronchial stump was covered with a pedicled intercostal muscle flap to prevent leakage from the stump. Minor leakage from the esophagogastrostomy site developed during the postoperative course but resolved with conservative therapy. The patient was transferred to the previous hospital on the 36th postoperative day. Four years after surgery, he had good oral intake and nutritional status without any evidence of recurrent thoracic empyema.
内容記述タイプ Abstract
出版者
出版者 Nagoya University Graduate School of Medicine, School of Medicine
言語
言語 eng
資源タイプ
資源 http://purl.org/coar/resource_type/c_6501
タイプ departmental bulletin paper
ID登録
ID登録 10.18999/nagjms.81.4.693
ID登録タイプ JaLC
関連情報
関連タイプ isVersionOf
識別子タイプ URI
関連識別子 http://www.med.nagoya-u.ac.jp/medlib/nagoya_j_med_sci/814.html
ISSN(print)
収録物識別子タイプ ISSN
収録物識別子 0027-7622
ISSN(Online)
収録物識別子タイプ ISSN
収録物識別子 2186-3326
書誌情報 Nagoya Journal of Medical Science

巻 81, 号 4, p. 693-699, 発行日 2019-11
著者版フラグ
値 publisher
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